The necessity of disinterment, under existing circumstances — John Shaqi
The necessity of disinterment, under existing circumstancesCooke, William
History
The necessity of disinterment, under existing circumstances
Cooke, William
Body snatching; Human dissection
There is a large artery on each side of the neck conveying blood to
the head: of so great magnitude is it, that, could the murderer wound
it by a puncture only, his business would be sufficiently done,
without any further division. A very small wound of this vessel would
give vent to so many pounds of blood, in a few seconds, as would cause
immediate death. Now this artery is subject to a disease called
Aneurism, wherein its coats yield (perhaps on one side of the vessel)
so as to form a small pulsating tumour. It is a membranous sac
containing blood. It communicates with the interior of the artery, so
that the contents of the tumour are easily squeezed back into the
artery, whence, upon the removal of the pressure, the blood
immediately returns into the sac. This tumour, gradually enlarged by
the continuance of morbid actions, and by the impetus of the
circulating blood, acquires, perhaps, the size of a large orange. The
skin is in a constant state of increasing tension, and it finally
becomes inflamed, and ulcerates, and the tumour bursts. After what was
said of the size of the artery, I need not dwell upon the certainty of
immediate death. The remedy consists in exposing the vessel between
the diseased portion and the heart, (_i. e._ in the neck,) and closing
it by applying a ligature upon it. This operation well performed, and
under favourable circumstances, effects a perfect cure. But it is
dreadful for any man to attempt it, (and there are many operations
much more difficult,) without the most exact anatomical knowledge. It
were far better that he allowed his patient to die _secundum naturam_,
than that he presumed to hasten his death, by destroying him _secundum
artem_. And, better were it many times over, that he experimented upon
his own, than upon the throats of his unfortunate patients. Does he
know the exact situation of the artery relatively to the deep parts
about it? Does he know by what parts it is covered? Then let him
proceed to expose it. It is surrounded by parts vitally important. It
is in close contact with a great vein which partially overlaps it, and
which is in continual motion. Should he wound this vein ever so
slightly, the probability is that the operation is fatal; and yet, he
has to separate it from the artery, and this at the bottom of a wound
which is covered with blood. Important nerves environ the artery, and
to include one of them in the ligature with it, would be as certainly
fatal as to injure the vein. Suppose a dexterous man and an anatomist
to be the operator: he leaves these important parts uninjured, because
he knows their situation, and that of all the parts concerned; also,
because he is calm and collected, from a consciousness of his own
resources. He exposes a portion of the artery, he conveys a ligature
around it, and his patient is safe. Suppose, again, that the operator,
from a delicate sentimentality, has held disinterment to outweigh, in
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